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Inspection Summary


Overall summary & rating

Good

Updated 16 February 2019

This inspection took place on 10 December 2018 and was announced. At our last inspection on 4 February 2016 the service was found to be good.

Hazelwood House provides supported living to five adults with complex mental health needs so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. People have assured short-hold tenancy agreements and their own en-suite rooms within the house.

The supported living service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was outstanding in the way it was run.

There was a clear vision about the direction and culture of the service, which promoted an ethos of involvement and creative ideas to ensure people had a full and satisfying life. The provider and local management team demonstrated these values in their actions through their work with people who lived at the service and staff. Innovative solutions to support people included employing them as peer support workers and working with other organisations and stakeholders to enable people to move on from high support accommodation. In this way the service was exceptional, distinctive and people were at the heart of the service.

People felt safe at the service and told us they enjoyed living there. They told us staff provided them with good support, in a way and at a time that they wanted and that they were treated with dignity and respect.

People were supported to be as independent as possible and this included taking their medicines themselves. For those who required support, medicines were administered safely and on time.

Risk assessments were in place and people had developed their own relapse prevention plans which outlined what their symptoms of ill health looked like and how they wanted to be supported in times of a mental or physical health crisis. Care plans were up to date, comprehensive, holistic and person centred.

People were supported to pursue activities of their choice and attend college courses. The provider also facilitated people going on holiday abroad by assisting them to get the relevant documentation to travel and by arranging staff to accompany them.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. There was a strong focus of person centred care within the service, which staff followed in practice to ensure people led a full and varied life. This meant people experienced an improved quality of life because they were supported to explore new opportunities and were proud of their achievements.

Staff recruitment was safe. Staff understood how to safeguard people and knew what to do if they had any concerns. Staff had completed training in key areas and annual refresher training took place. Regular supervision and appraisal helped them identify areas for learning and development and team meetings were used to share best practice as well as a source of learning across the staff team.

Staff told us they enjoyed working for the provider and health professionals told us there was continuity of trained, skilled staff who were able to form therapeutic relationships with people. Health professionals told us the management team and provider worked in collaboration with them to maximise and improve people’s health and well-being.

There were quality systems in place to ensure service provision was of good quality. People living at the service and other stakeholders praised the local management team and the provider f

Inspection areas

Safe

Good

Updated 16 February 2019

The service remains good.

Effective

Good

Updated 16 February 2019

The service remains good.

Caring

Good

Updated 16 February 2019

The service remains good.

Responsive

Good

Updated 16 February 2019

The service remains good.

Well-led

Outstanding

Updated 16 February 2019

The service was well led and demonstrated innovative practises which were outstanding. The local management team and provider were developing innovative practices and opportunities that enabled people to move to more independent accommodation and take up training and employment. These opportunities impacted positively on their lives.

The management team had audit systems in place to ensure the quality of the service was good.

The registered manager and provider were well regarded by the people who lived at the service and other stakeholders.